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Ferreira, A. I., Perez-Nebra, A., Ellen Costa, E., Aguiar, M. L., Zambonato, A., Costa, C. G....Costa Ferreira, P. A. N. (2021). Presenteeism and productivity: The role of biomarkers and hormones. International Journal of Environmental Research and Public Health. 18 (9)

A. I. Ferreira et al.,  "Presenteeism and productivity: The role of biomarkers and hormones", in Int. Journal of Environmental Research and Public Health, vol. 18, no. 9, 2021

@article{ferreira2021_1731964843184,
	author = "Ferreira, A. I. and Perez-Nebra, A. and Ellen Costa, E. and Aguiar, M. L. and Zambonato, A. and Costa, C. G. and Modesto, J. G. and Costa Ferreira, P. A. N.",
	title = "Presenteeism and productivity: The role of biomarkers and hormones",
	journal = "International Journal of Environmental Research and Public Health",
	year = "2021",
	volume = "18",
	number = "9",
	doi = "10.3390/ijerph18095014",
	url = "https://www.mdpi.com/journal/ijerph"
}

TY  - JOUR
TI  - Presenteeism and productivity: The role of biomarkers and hormones
T2  - International Journal of Environmental Research and Public Health
VL  - 18
IS  - 9
AU  - Ferreira, A. I.
AU  - Perez-Nebra, A.
AU  - Ellen Costa, E.
AU  - Aguiar, M. L.
AU  - Zambonato, A.
AU  - Costa, C. G.
AU  - Modesto, J. G.
AU  - Costa Ferreira, P. A. N.
PY  - 2021
SN  - 1660-4601
DO  - 10.3390/ijerph18095014
UR  - https://www.mdpi.com/journal/ijerph
AB  - Purpose. This study aimed to assess whether self-reported productivity despite presenteeism
may be affected by biomarkers and hormones and how these physiological indicators can
interact with each other to explain the presenteeism dimensions. Methods. This pilot study included
180 healthy participants with a mean age of 41.22 years (SD = 13.58), 76.11% of whom were female.
The dependent variable included a self-reported measure of productivity loss due to presenteeism:
the Stanford Presenteeism Scale 6. This study also includes physiological indicators such as biomarkers
(C-reactive protein (CRP) and blood glucose) and hormones (cortisol and TSH thyroid hormone).
Results. Multiple linear regression analyses revealed that CRP moderated the relationship between
cortisol levels and productivity despite presenteeism. Moreover, the increase of TSH moderated the
relationship between cortisol, glycemia, and employees’ capacity to complete work tasks while sick.
Conclusions. The results highlight TSH’s moderating role in decreasing employees’ capacity to fulfill
tasks when these individuals have high levels of glycemia and cortisol in their blood. These findings
have practical and theoretical implications based on a fuller understanding of how biomarkers and
hormones explain productivity despite presenteeism.
ER  -